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Managed Care or Med Direct — Region 1, St. Gallen

Region 1, St. Gallen: with Visana, Managed Care costs CHF 541.30 a month in 2026 and Med Direct CHF 548.30, for an adult with a CHF 300 deductible and accident cover. The table below gives the gap at every deductible.

Managed Care is the cheaper of the two here: CHF 84.00 saved per year against Med Direct, for cover identical under the law. What you pay more or less for is the care pathway.

What you accept in each case

Managed Care is a "Group practice (HMO)" model. Med Direct is a "Family doctor" model.

  • Managed Care

    Group practice (HMO)

    You go to a designated group practice, which coordinates your care.

  • Med Direct

    Family doctor

    You pick a family doctor and always go to them first.

The price at every deductible

DeductibleManaged CareMed DirectGap per year
300CHF 541.30CHF 548.30CHF 84.00
500CHF 534.60CHF 541.60CHF 84.00
1'000CHF 500.50CHF 507.50CHF 84.00
1'500CHF 471.30CHF 478.30CHF 84.00
2'000CHF 442.10CHF 449.10CHF 84.00
2'500CHF 413.00CHF 420.00CHF 84.00

The comparison, region by region

An alternative model commits you to a care pathway: check the conditions with the insurer before signing. This page gives a price, not advice.

Source: Federal Office of Public Health (FOPH), official premiums and territorial coverage areas.